User:Heuves/sandboxmosel2

The widening scope
The term widening scope implies that new techniques and tools are now available that can reach patients who were not treatable by earlier techniques and tools. The widened scope suddenly made potentially available a large pool of patients who would not otherwise have been available. This meant that the analytic situation was modified so that it would be more suitable and more likely to be helpful for these patients. M.N. Eagle (2007) believes that psychoanalysis cannot be a self-contained discipline but instead must be open to influence from and integration with findings and theory from other disciplines.

Contributing factors for the indication and contraindication of psychoanalytic treatment
Looking at the influences from and integration with other disciplines a list of contributing factors conceivable for the indication and contraindication of psychoanalytic treatment can be described.

First there are official analytical organizations like the International Psychoanalytical Association, the American Psychoanalytical Association , the European Federation for Psychoanalytic Psychotherapy , etc. which have there own procedures and models for the indication of psychoanalytical therapy.

The second source providing a some contributing factors comes from literature focusing on the classical psychoanalytic therapy starting with the theories provided by Sigmund Freud. Contemporary psychoanalysts make use of, add new insights to and change these classical theories about the indication for psychoanalytic therapy and develop new ideas about the indication and contraindication. Therefor the analytic treatment becomes more suitable and helpful for patients that wouldn't have been treatable by earlier techniques and tools.

Third there are practical factors like insurance and funding that gives a patient the opportunity to go into psychoanalytic treatment. The classical form of psychoanalytical therapy is a time-consuming form of therapy containing 4-5 sessions a week over a period of multiple years with a professional psychoanalyst. Therefore it is a very expensive form of therapy. The match between the analyst and the patient can be viewed as the fourth contributing factor for the indication and contraindication for psychoanalytic treatment. The analyst decides whether the patient is suitable for psychoanalysis. This decision made by the analyst is based on the perception, interpretation and feelings about the patient but also influenced by the internal working model of the analyst itself. .

These contributing factors for the indications and contraindications for psychoanalytic treatment shows that there is a lot to say about the characteristics of the treatment, analyst and the patients to make a clear indication specification

Procedures and models for the indication of psychoanalytical therapy
In nowadays psychoanalysis lots of analysts find it very important to follow concrete (semi-) standardized procedures in making the decision of a patient is suitable for psychoanalytic treatment. For example they can follow defined protocols of their psychoanalytical association and make therefore use of (semi-) structured interviews, personality tests, projective tests, (psychological) questionnaires. The analyst can also be endorsed by one or more independent analysts, who for example interpreted the results of the psychological research of the patient by the analyst. Based on the characteristics of the patient in relation to this result outcome is discussed if the patient is suitable for psychoanalyses. Insurances are of course a determining factor hereby.